Melbourne School of Population and Global Health, The University of Melbourne, Carlton, VIC, Australia.
Nutrition and Dietetics, College of Nursing and Health Sciences, Flinders University, Bedford Park, SA, Australia.
Public Health Nutr. 2021 Apr;24(6):1438-1448. doi: 10.1017/S1368980020001676. Epub 2020 Jul 28.
To examine associations between childcare type and nutrition and oral health indicators.
Cross-sectional data extracted from a longitudinal birth cohort. Parent-completed FFQ and questions regarding oral health and childcare use. The associations between childcare type, classified into four groups: parent care only (PCO), formal childcare only (FCO), informal childcare only (ICO) or combination of care (F&I), and nutrition and oral health indicators were examined.
Home and childcare.
Families with children aged 3 years (n 273) and 4 years (n 249) in Victoria, Australia.
No associations were observed between childcare type and core food/beverage consumption or oral health indicators. For discretionary beverages, compared with children receiving PCO at age 3 years, children in FCO or F&I were less likely to frequently consume fruit juice/drinks (FCO: adjusted OR (AOR) 0·41, 95 % CI 0·17, 0·96, P = 0·04; F&I: AOR 0·32, 95 % CI 0·14, 0·74, P = 0·008). At age 4 years, children receiving FCO or ICO were less likely to consume sweet beverages frequently compared with children receiving PCO: fruit juice/drink (ICO: AOR 0·42, 95 % CI 0·19, 0·94, P = 0·03; FCO: AOR 0·35, 95 % CI 0·14, 0·88, P = 0·03) and soft drink (ICO: AOR 0·23, 95 % CI 0·07, 0·74, P = 0·01; FCO: AOR 0·14, 95 % CI 0·03, 0·76, P = 0·02).
Associations between childcare type and discretionary beverage intake were observed. Investigation into knowledge, attitudes and activities in formal and informal childcare settings is required to explore different health promotion practices that may influence nutrition and oral health.
研究儿童照护类型与营养和口腔健康指标之间的关联。
从纵向出生队列中提取的横断面数据。家长填写的食物频率问卷以及有关口腔健康和儿童照护使用情况的问题。研究了儿童照护类型（分为仅父母照护、仅正规儿童照护、仅非正规儿童照护或混合照护四类）与营养和口腔健康指标之间的关系。
家庭和儿童照护场所。
澳大利亚维多利亚州 3 岁（n 273）和 4 岁（n 249）儿童的家庭。
未观察到儿童照护类型与核心食物/饮料摄入或口腔健康指标之间存在关联。在 3 岁时，与接受父母照护的儿童相比，接受正规儿童照护或混合照护的儿童不太可能频繁饮用果汁/饮料（FCO：调整后的比值比（OR）0·41，95 % CI 0·17，0·96，P = 0·04；F&I：OR 0·32，95 % CI 0·14，0·74，P = 0·008）。4 岁时，与接受父母照护的儿童相比，接受正规儿童照护或非正规儿童照护的儿童不太可能频繁饮用含糖饮料：果汁/饮料（ICO：OR 0·42，95 % CI 0·19，0·94，P = 0·03；FCO：OR 0·35，95 % CI 0·14，0·88，P = 0·03）和软饮料（ICO：OR 0·23，95 % CI 0·07，0·74，P = 0·01；FCO：OR 0·14，95 % CI 0·03，0·76，P = 0·02）。
观察到儿童照护类型与可自由支配的饮料摄入量之间存在关联。需要对正规和非正规儿童照护环境中的知识、态度和活动进行调查，以探索可能影响营养和口腔健康的不同健康促进实践。
